Carlos Terrell Pittman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107816 Issued in FL

Practice address

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone

(850) 272-8737

NPI assigned

Mar 18, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpittman21579@tallahasseememorial.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment Care Compare group
• TMH Emergency Physician Group

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1417483819
  Medicare reassignment NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1013675016
  Medicare reassignment
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1457012940

  Physician Assistant

  NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1548921034

  Physician Assistant

  NPD
• Tallahassee Memorial Healthcare Inc

  • Pain Medicine (Anesthesiology) Physician
  • Tallahassee, FL
  • NPI 1790344927
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1811314651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 MEDICAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084615",
            "telephone_number": "850-431-7801",
            "fax_number": "850-431-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-272-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "CARLOS",
        "middle_name": "TERRELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Ellen Pires
• Alexis Pitt, AU.D.
• Jeuanne N Pitter, FNP-BC
• Abby Pittman, BCBA
• Anna Pittman, PA-C
• Heather Nicole Pittman, MA, CF-SLP
• Calonie Rene Pitts, MSW
• Dylan Pitts
• Raven Pitts, CPRS
• Stephen Andrew Pitts

• Physician Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.